A huge retroperitoneal lymphatic cyst presenting as a mesenteric cyst, managed laparoscopically

Abinash Panda,Leesa Misra,Manash Ranjan Sahoo,Manoj Srinivas Gowda,Raghavendra Mohan Kaladagi,Syam Sundar Behera

doi:10.5348/ijcri-2014114-cr-10425

Abstract

Introduction: retroperitoneal lymphatic cysts are uncommon in occurrence. Due to presence of large potential space in the retroperitoneum, the cyst grows to a considerable size in abdomen before it presents clinically and the presentation noted in most of the cases are non-specific, confusing to the surgeons leading to delay in diagnosis. the treatment of choice is complete excision of cyst. Nowadays minimal access procedures are tried. case report: We report a case of a huge retroperitoneal lymphatic cyst which had complex presentation mimicking as mesenteric cyst in a 22-year-old female, which was managed laparoscopically. conclusion: retroperitoneal cysts are uncommon, with a very low estimated incidence. Approximately, one-third of patients with retroperitoneal cysts are asymptomatic and the cyst is found incidentally. retroperitoneal lymphatic cysts are an uncommon lesion in adults. With complete surgical excision these tumors have an excellent prognosis, with great symptomatic relief. In

Highlights

Retroperitoneal lymphatic cysts are uncommon in occurrence
Due to presence of large potential space in the retroperitoneum, the cyst grows to a considerable size in abdomen before it presents clinically and the presentation noted in most of the cases are non-specific, confusing to the surgeons leading to delay in diagnosis
Case Report: We report a case of a huge retroperitoneal lymphatic cyst which had complex presentation mimicking as mesenteric cyst in a 22-year-old female, which was managed laparoscopically

Summary

Introduction

Retroperitoneal cysts are uncommon with an estimated incidence of 1/5,750 to 1/250,000 [1]. One-third of patients with retroperitoneal cysts is asymptomatic and found incidentally. Sometimes they pose challenge for proper preoperative diagnosis because of their location. With the recent development of surgical equipment and advance surgical techniques, a number of minimally invasive procedures are employed for treatment of such tumors This case report describes a patient with lymphatic cyst mimicking as a mesenteric cyst who underwent a successful laparoscopic resection. Abdominal examination reveals a mass in the right lower abdomen involving the lumbar, iliac region with extension in infra umbilical area; the mass was soft to cystic in consistency, mobile freely in transverse direction while less mobile in vertical direction, no shifting dullness and no thrill noted. Follow-up At fifth month, the patient was good and he is doing fine till date

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CONCLUSION